Catatonia Eight Years after Head Injury

Groysman, Leonard; Nam, Keeban; Vo, Nancy; Rocha, Evita; Cvetko, Jessica; Kim, Jessica; Al-obeidi, Ebaa; Cho, Christopher; Bota, Robert G.

doi:10.9734/bjmmr/2017/30545

Cited by 2 publications

(1 citation statement)

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“…The body of literature reporting catatonia secondary to traumatic brain injury is limited. Many cases were marked by a delayed diagnosis, and some presented with catatonia months to years after the initial injury [ 6 – 8 ]. Here, we present a case of catatonia secondary to traumatic brain injury with delayed recognition likely due to biases related to the social context of his presentation.…”

Section: Introductionmentioning

confidence: 99%

Catatonia as a Result of a Traumatic Brain Injury

Berthelot,

Cambre,

Erwin

et al. 2024

Case Reports in Psychiatry

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Catatonia is a neuropsychiatric syndrome typically marked by disturbances in motor activity, speech, and behavior. It has historically been associated with psychiatric illness, but acute medical illness, neurocognitive disorders, and neurodevelopmental disorders can cause catatonia as well. Catatonia is likely underrecognized and underdiagnosed in the general medical hospital, despite high risks of morbidity and mortality and the availability of rapidly effective treatment. Here, we present a case of catatonia secondary to traumatic brain injury that responded to lorazepam after a delayed diagnosis. A young male patient who was incarcerated and assaulted was sent to the emergency department multiple times for unresponsive and unpredictable behavior, including not agreeing to be released home. After being admitted with the diagnosis of postconcussive syndrome, he was ultimately diagnosed with catatonia, and intravenous lorazepam resulted in a return to his baseline mental status. We discuss factors that led to the delay in diagnosis, including lack of training in recognition of catatonia, suspicion of feigned symptoms for secondary gain, and the implication of stigma in an African American young male arrested for a drug-related crime.

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Section: Introductionmentioning

confidence: 99%